CMS Price Transparency Data
Prosthetic fitting and training
Facility: Cape Regional Medical Center Inc
Billing Code: 97761 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$83
about 2.1× the $40 Medicare rate · typically $41–$175
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $83 Cash price $61 Hospital's list price $82
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $57 - $66 | 141% |
| Blue Cross Blue Shieldmajor | $42 - $43 | 104% |
| Aetnamajor | $8 - $62 | 20% |
| Cignamajor | $119 - $132 | 294% |
| Amerigroup | $9 | 22% |
| AmeriHealth | $53 | 131% |
| Clover Health | $54 | 134% |
| + 5 smaller / regional plans | $8 - $224 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cape Regional Medical Center Inc
Compare: Prosthetic fitting and training at other NJ hospitals
- The University Hospital · Newark $31
- Inspira Medical Center Vineland · Vineland $43
- Inspira Medical Center Mullica Hill · Elmer $43
- Centrastate Medical Center · Freehold $44
- St Joseph's University Medical Center Inc · Paterson $45
- Morristown Medical Center · Morristown $46
- Chilton Medical Center · Pompton Plains $46
- Newton Medical Center · Newton $46
Insurance negotiated median for the same procedure, sorted lowest first.